Clinical Audits registered 01/01/17-31/12/17

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1 Clinical Audits registered 01/01/17-31/12/17 Month RegisteTitle Local/National New/re-audit Jan-17 An Audit Assessing Plain Radiographic Views in the Evaluation of Traumatic Hand Injuries Jan-17 Clinical documenation of flexible cystoscopy in urology outpatients Jan-17 Introducing a pathway for the management of acute Crohn's disease Jan-17 National Maternity and Perinatal Audit National New Jan-17 Reaudit: investigation of suspected urinary tract infections (UTI) in children National Re-audit Jan-17 Reasons for young people not taking up immunisation Jan-17 Challenges of using frontline agency staff within the NHS. Jan-17 Patient evaluation of care whilst receiving bladder cancer instillation treatment (re-audit) Jan-17 Endoscopy Unit, Patient Survey, "Your Experience 2017" Jan-17 The difference in quality of life of patients with skin conditions affecting different areas of the body Jan-17 Deprivation of liberty safeguards audit Jan-17 Review of the outcomes of teledermatology cases with no diagnosis made Jan-17 Research & Development Strategy Survey Feb-17 Development of a pathway for the management of children who are suspected to have inhaled/ingested a battery. Feb-17 Audit of Alcohol Withdrawal Management in Acute Medicine Feb-17 Acute Urinary Retention Management Audit Feb-17 Neutropenic sepsis Audit - 1 hour from presentation to receiving appropriate antibiotics Feb-17 Radiology inserted gastrostomy procedures in Medway Maritime Hospital Feb-17 Rheumatology muscle biopsy pathway Feb-17 Audit of quality of analgesia with Quadratus Lumborum block for laparoscopic colorectal and gynaecological surgery Feb-17 Caesarean section anaesthesia:technique and failure rate Mar-17 Interventional Consent Mar-17 Regional Retention Service Evaluation Mar-17 Frontline Audit of Speed and Security of Transmissions by forward Mar-17 3rd Cycle CTPA Audit Mar-17 Audit of Management of Reduced Fetal Movements

2 Mar-17 Treatment Escalation Plan and Do Not Attempt Resuscitation Audits Mar-17 Perioperative analgesia in major lower limb amputees Mar-17 Review of the management of respiratory disorders in term babies admitted to OFNU Mar-17 Therapies Super7 - Phase 2 Mar-17 Pharmacists writing discharge medications Apr-17 BAUS Urology Audits - Cystectomy National Not applicable Apr-17 BAUS Urology Audits - Female Stress Urinary Incontinence Audit National Not applicable Apr-17 BAUS Urology Audits - Nephrectomy National Not applicable Apr-17 BAUS Urology Audits - Radical Prostatectomy National Not applicable Apr-17 Bowel Cancer (NBOCAP) National Not applicable Apr-17 Cardiac Rhythm Management (CRM) National Not applicable Apr-17 Case Mix Programme (CMP) National Not applicable Apr-17 Diabetes (Paediatric) (NPDA) National Not applicable Apr-17 Elective Surgery (National PROMs Programme) National Not applicable Apr-17 Endocrine and Thyroid National Audit National Not applicable Apr-17 Fracture Liaison Service Database National Not applicable Apr-17 Inpatient Falls National Not applicable Apr-17 National Hip Fracture Database National Not applicable Apr-17 Head and Neck Cancer Audit National Not applicable Apr-17 Major Trauma Audit National Not applicable Apr-17 MBRRACE National Not applicable Apr-17 Myocardial Ischaemia National Audit Project (MINAP) National Not applicable Apr-17 National Audit of Percutaneous Coronary Interventions (PCI) (Coronary Angioplasty) National Not applicable Apr-17 National Cardiac Arrest Audit (NCAA) National Not applicable Apr-17 National Diabetes Foot Care Audit National Not applicable Apr-17 National Pregnancy in Diabetes Audit National Not applicable Apr-17 National Emergency Laparotomy Audit (NELA) National Not applicable Apr-17 National Heart Failure Audit National Not applicable Apr-17 National Joint Registry (NJR) National Not applicable Apr-17 National Lung Cancer Audit (NLCA) National Not applicable Apr-17 National Neonatal Audit Programme - Neonatal Intensive and Special Care (NNAP) National Not applicable Apr-17 National Prostate Cancer Audit National Not applicable Apr-17 National Vascular Registry National Not applicable Apr-17 Oesophago-gastric Cancer (NAOGC) National Not applicable Apr-17 Sentinel Stroke National Audit programme (SSNAP) National Not applicable Apr-17 Serious Hazards of Transfusion (SHOT): UK National haemovigilance scheme National Not applicable Apr-17 UK Parkinson's Audit National Not applicable Apr-17 Female Genital Mutilation National Not applicable Apr-17 GIFRT (SSI) National Not applicable

3 Apr-17 Seven Day Service National Not applicable May-17 Assessing Staff Knowledge of Dietary Advice in Neutropenic Patients Apr-17 Gynaecology Assessment Unit Apr-17 An audit of inpatient documentation for acute, general and vascular surgical patients May-17 VTE Assessment May-17 Audit of Oxygen Prescription Apr-17 Sterile Water Analgesia: A non pharmacological Service Evaluation (SWANS) Apr-17 Parkinsonism - non motor manifestations Apr-17 Use of IV Magnesium Sulphate at Medway Maritime Hospital Apr-17 Compliance with Ticagrelor Prescription in ACS patients as per Trust Guidelines May-17 Mouth Care Matters Re-Audit Apr-17 Evaluation of the Electronic Discharge Outcomes of Emergency Department Patients May-17 A clinical review of the potential impact of following hip precautions after Hemiarthroplasty surgery for fragility fractures on patient length of stay and equipment costs at Medway NHS Foundation Trust May-17 Audit on Transient Loss of Consciousness Based On NICE Guidelines May-17 Safeguarding Children-Upholding The RCEM Clinical Standards May-17 Research & Development Strategy Survey May-17 An audit of elective Caesarean sections at Medway comparing 2016 with 2017 Apr-17 Success rate of U/S guided biopsies Apr-17 RIFT (Right Iliac Fossa Audit) Apr-17 Wide Bore MRI: The Percentage of MRI patients who successfully complete MRI scans compared to number of failed exams due to claustrophobia Apr-17 Head and Neck Histology Third Cycle Audit re-audit Apr-17 Perioperative Analgesia in Major Lower Limb Amputees Apr-17 Safeguarding Children Documentation Apr-17 The Prevalence of Insulin Omission Amongst Inpatient Insulin-Treated Diabetes at Medway Hospital Apr-17 Wait for Initial Therapy Assessment in Front Door and Acute Assessment Areas May-17 Radiological investigation of renal colic following the introduction of CTKUB May-17 Monitoring of Vitamin D Levels in At risk groups May-17 Coronary angiography and PCI within 72 hours for NSTEMI or Unstable Angina

4 Apr-17 COPD Registry National Not applicable May-17 SNAP-2 EpiCCS National Not applicable Jun-17 Prevalence and neonatal outcome of prenatally diagnosed isolated aberrant right subclavian artery from 2012 to 2016 Jun-17 Audit to ensure appropriate use of Adult bedrail and completion of risk assessment Jun-17 Care of the Contralateral limb following amputation surgery Apr-17 MUST (Malnutrition Universal Screening Tool) Re-audit Jun-17 Shoulder Audit for the Management of Irreparable Rotator Cuff Tears Jun-17 Think Handover (Urology) Jun-17 Adult trauma call documentation audit Jun-17 National Diabetes Audit National Not applicable Jun-17 National Cancer Patient Services Experience Programme National Not applicable Jun-17 National Orthognatic Audit National Not applicable Jun-17 Audit of maternity compliance with NICE guideline 69:Eating disorders: recognition and treatment Jun-17 Adherence to RCP Guidelines Regarding Discharge Jun-17 Enhancing Trauma Theatre Flow Jun-17 To gown or not to gown: changing practice Jul-17 Children's ED User Satisfaction Survey Jul-17 CABSI Care Bundle (QIP) Jul-17 Internal jugular vein collapsibility as a measure of fluid responsiveness in ICU patients on ventilators Jul-17 Pain agitation and delirium audit Jul-17 Apremilast in Psoriatic Arthropathy Jul-17 Pre-assessment customer satisfaction audit Jul-17 Lung cancer support service evaluation re-audit Jul-17 PEG tube insertions 2017 Jul-17 Shared decision making in surgery (localised prostate cancer) Jul-17 Preoperative fasting Jul-17 Orthodontic model box audit Jul-17 An Audit on the Quality of Dental Radiographs taken by Clinical Staff in the Orthodontic Department at Darent Valley Hospital Jul-17 Record keeping re-audit Jul-17 Do the PROMS reflect real outcomes? An audit of Patient Reported Outcome Measures after hip and knee arthroplasty at Medway Hospital. Jul-17 Latex Free Materials and Equipment in the Orthodontic Department

5 Jul-17 Fracture Liaison Services effectiveness in the Osteoporosis Aug-17 Patient satisfaction survey on the breast screening van Aug-17 Endoscopy Patient Satisfaction of Scheduling Audit Aug-17 An audit of cervical screening compliance in women undergoing hysterectomy Aug-17 Orthodontic Patient Satisfaction Survey 2017 re-audit Aug-17 Neutropenic sepsis Audit - 1 hour from presentation to receiving appropriate antibiotics Aug-17 Falls Alarm and Sensor Pad Audit Aug-17 CCU Relative Satisfaction Survey Aug-17 IBD Service Patient Survey Sep-17 Evaluating compliance with seating and postural advice for stroke patients. Sep-17 The Quality and Equality of Physiotherapy Treatment for Laparotomy and Open Abdominal Aneurysm Repair across the Surgical Wards Sep-17 Depo Medrone Injection Administered via PGD RH001 Sep-17 Inflammatory Arthritis New Patient Group Survey Sep-17 New Referrals to the Orthopaedic Fracture Clinic Sep-17 To evaluate the initial management of decompensated liver disease Local new Sep-17 Consent for Surgical Procedures 2017 re-audit Sep-17 PAPAYA Audit of unplanned admission after paediatric day case anaesthesia in the UK Sep-17 Heparin infusion protocol Sep-17 RCEM: Fractured Neck of Femur National Not applicable Sep-17 RCEM: Pain in Children National Not applicable Sep-17 National Audit of Dementia: Spotlight Audit National Not applicable Sep-17 Audit of unplanned admission after paediatric day case anaesthesia in the UK National Not applicable Sep-17 Drug survival of Benepali in patients with Rheumatological conditions (Rheumatoid arthritis, Psoriatic arthritis, Ankylosing spondylitis) Sep-17 Post fall care Sep-17 Adherence to RCP guidelines regarding discharge notifications Sep-17 Management of patients presenting with a Paracetamol overdose in the Emergency Department Sep-17 An audit of management of neonatal sepsis at Medway Hospital over a six month period Oct-17 GP satisfaction with electronic discharge summaries

6 Oct-17 Wristband audit re-audit Oct-17 Vitamin D consumption and levels for patients defined by NICE as at-risk of deficiency Sep-17 Neonatal Intensive Care Unit (NICU) parents experience of practice of short term nasogastric tube feeding Oct-17 2 Week Referral (Colorectal Cancer)- Improving quality & content of referral letters Oct-17 LocSSIPs Use for invasive procedure Oct-17 Management of Urinary Incontinence in Women in the primary care setting prior to a Specialist Referral Oct-17 RCEM: Procedural Sedation National New Oct-17 Development of a surgical bereavement service Oct-17 Children's services paediatric surgery Oct-17 Severe sepsis & septic shock in adults Oct-17 Smoking cessation Oct-17 Assessment of Patient Satisfaction before and after Virtual Fracture Clinic Implementation Oct-17 Paediatric Sepsis 6 Oct-17 Clomid prescription for induction of ovulation Oct-17 Improving quality of consenting for urology procedures Oct-17 End of Life Care Survey Oct-17 Acutely Ill Patients in The Hospital Setting Oct-17 Optimising & Improving Medical Handovers Nov-17 The effectiveness of and adherence to current guidelines on head injury management Nov-17 Obstetric Triage Monitoring Audit Nov-17 BTS: Paediatric Bronchiectasis National Not applicable Aug-17 BTS: Bronchoscopy National Not applicable Nov-17 Surgical Patient Enhancement Team (SPET) Patient questionnaire Nov-17 Oxygen saturation levels in infants with Bronchiolitis Nov-17 Baseline evaluation and screening of patients prior to commencing biologic therapy for psoriasis Nov-17 Stranded Patient audit Nov-17 Re-audit of awareness and compliance with post bond up instructions Apr-17 National Maternity and Perinatal Audit National Not applicable Nov-17 Pediatric Supracondylar humerus fractures : audit of practice Nov-17 Review of safety and efficacy of rectus sheath catheters for perioperative pain management Nov-17 Evaluation & facilitation of integrated systems use Dec-17 Re-audit of External Cephalic Version for breech presentation

7 Nov-17 End of Life care on a respiratory ward Nov-17 Non-physical and physical problems identified within 3 months of discharge from critical care audit Nov-17 Patient satisfaction of critical care discharge follow up Nov-17 Haematuria pathway-are we following the NICE guidelines Dec-17 Are we achieving optimal care for NOF fractures Dec-17 Optimising postoperative analgesia following Arthroplasty surgery Dec-17 Improving surgical handover (vascular) Jan-18 Evaluation of ED versus Ward-based Electronic Discharge Outcomes Dec-17 Diagnosis & management of ectopic pregnancy Dec-17 Audit reviewing Nurse specialist performing surgery Dec-17 Assessing departmental provision of Uterine Artery Embolisation Dec-17 Consent and chaperone for intimate examinations in Colorectal Clinic Dec-17 Post tonsillectomy bleeding Jan-18 Mammography biopsy comparisons Dec-17 TED Stockings Dec-17 Abnormal admissions CTG service evaluation Dec-17 Waiting time in letter writing

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